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Contact Information

ANGELES VISION CLINIC, INC.
811 GEORGIANA ST
PORT ANGELES, WA98362-3511
 Phone: 360-452-7661
 Fax: 360-417-0254
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for ANGELES VISION CLINIC INC · (Female)

NPI # 1265607071
Status Active
Credentials
Entity Individual
Enumeration date 04/23/2008
Last updated 11/08/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # 1267TX
  • WA Medicaid 2025484
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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